Cannon Beach Spa Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

1458 Issued in OR

Legal business name

CANNON BEACH SPA INC

Practice address

232 N Spruce St
Cannon Beach, OR 97110

Phone

(503) 436-8772

NPI assigned

Jul 11, 2008

Last updated

Jul 11, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Timothy J Krupa, DCNPI 1659527240

Title

Owner

Phone

(503) 436-8772

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Timothy J Krupa, DC

  • Chiropractor
  • Cannon Beach, OR
  • NPI 1659527240
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1215734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215734400000",
    "number": "1134383920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 953",
            "city": "CANNON BEACH",
            "state": "OR",
            "postal_code": "971100953",
            "telephone_number": "503-436-8772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 N SPRUCE ST",
            "city": "CANNON BEACH",
            "state": "OR",
            "postal_code": "97110",
            "telephone_number": "503-436-8772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANNON BEACH SPA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-11",
        "last_updated": "2008-07-11",
        "status": "A",
        "authorized_official_last_name": "KRUPA",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-436-8772",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "OR",
            "license": "1458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Acupuncture & Natural Medicine Clinic Inc.
• Acupuncture & Natural Medicine Clinic, LLC
• Christopher Lewis Craft, FNP-BC
• Brianne Crane, MA, LPC
• Dragonheart Family Healthcare, LLC (Dragonheart Herbs & Natural Medicine)
• Seth A Goldstein, DC
• Melissa Haeckel, MELISSA HAECKEL

• Physical Therapy Clinic/Center in Cannon Beach, OR
• Providers in Cannon Beach, OR by specialty
• Physical Therapy Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.